| 1) Name of the applicant, his Nationality and full address : |
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| 2) Whether the applicant is a proprietary firm / private or public company / Hindu undivided
Family Individual or a Registered Partnership Firm. (Attested copies of deeds or Articles
of Association to be enclosed of partnership Firm / Company) :
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| 3) Telex and Telephone No (Registered Office and Residence) : |
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| 4) Name of the person holding the Power of Attorney, and his Nationality with his/her
liabilities (attested copy of the Power of Attorney to be enclosed).
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| 5) (a) Names of Partners, their present nationality with their liabilities (Attested
copy of Partnership Deed to be enclosed).
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| (b) Name and address of the Directors of the Firm/company.
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| 6) Name of Bankers and their full address/Telephone No./fax. |
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| 7) Present place of business:
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| 8) Present type of business and the value of similar jobs carried out by them in the last
three years (Please give in separate sheet, details of the work, the value of the work. date of award and completion, whether any penalties were imposed-Details be supported with copies of work orders / Completion reports etc.)
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| 9) Details of any previous Licence Registration with the regional Labour Commissioner
where applicable.
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| 10) Whether the tenderer has registered himself in any other Public Undertakings and
State/Central Govt Organisations for similar type of works? If so, photocopy of such registration may be furnished.
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| 11) Whether the tenderer or any of his partners is a dismissed/retired Government servant/
employee of MOIL or any other Public Sector Undertaking ? If yes, please give details.
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| 12) Whether the tenderer has quoted for or been awarded any contract of similar nature with
any other Company/Undertaking etc. If so, please furnish details of current contract
commitments.
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| 13) Has the tenderer or any of his partners or shareholders been blacklisted or removed from
the approved list of contractors, or demoted to Lower Class or orders passed banning/
suspending business etc. by any Govt. Department/Private companies etc. in the past ? Is
there any case of litigation pending? If yes, please give details.
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| 14) Income tax clearance certificate to be attached and details of PAN may be furnished
wherever necessary.
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| 15) Whether solvency certificate from the bankers attached. |
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| 16) Copy of the works contract Act registration has to be attached to the tender document for
works in Maharashtra without which the Registration will be liable to rejection (wherever
necessary).
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| 17) Statement showing the financial capability of the Firm/ Company Individual/ HUF for the
last 3 years under the following headings:
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| 18) Technical capability :
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| a) Details of equipment and its ownership and location, status etc. |
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| b) Details of technical personnel and their experience in the works. |
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| c) No. of years of Experience as a Contractor. |
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| ------------------DECLARATION--------------- |
| I. I/We certify that I/We did not retire as an employee(s) of MOIL or any other
Public Sector Undertaking during the last 3 years. I/We also certify that I/We have neither such a person under my/our employment nor shall I/We employ any such person within two years of his retirement from MOIL or any other Public Sector Undertaking except with the prior permission of MOIL.
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| II. I/We certify that none of the partners/Directors retired as an employee of MOIL or any
other Public Sector Undertaking during the last two years. I/We also certify that in case if any such person is to be inducted by us as Partner/Director prior permission of MOIL will be obtained.
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| III. I/We also certify that we do not have in our employment any person dismissed from
service by MOIL or any other Public Sector Undertaking. In case such a person is proposed to be employed by me/us in future, prior permission of MOIL would be obtained.
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| IV. I/We declare that I or none of our partners are relatives of any EXECUTIVE working in
Manganese Ore (India) Limited.
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| V. I have read the above instructions as well as the contents of Part-I of the tender and
understood the same. In acceptance thereof, I sign hereunder:
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